The eHARS Dashboard

A tool for monitoring HIV surveillance activities

Michael Eberhart, MPH

Philadelphia, PA

HIV Surveillance

Requires complete and accurate data Multiple sources

– Various report mechanisms– Changing procedures/requirements

Passive and active surveillance Electronic data

– Parsing/cleaning/importing

HIV Surveillance

Frequent evaluation and review Respond to subtle changes

– Identify gaps– Compare with historical trends

Not just cases– Facilities– Labs– Physicians– Completeness– Workflow

eHARS Data

Person dataset– New cases and demographic trends

Document dataset– Report sources and methods– Laboratory tests– Death reports– TTH (for incidence surveillance)

eHARS Dashboard

Data “at a glance” Succinct presentation Actionable data

– Trends– Comparisons– Identify new issues

Modified from sample code– “Information Dashboard Design” by Stephen Few

eHARS Dashboard

Produced monthly HTML-based Graphical presentation Drill-down to more detailed information Overview of all activities User-specific information in the background

eHARS Dashboard - Components

Documents– Entered manually

Total docs By user By type Completeness

– Missing Surveillance Method– Missing Report Source– Missing Report Medium

eHARS Dashboard - Components

Documents– Imported electronically– Total docs

By user By type

eHARS Dashboard - Components

New HIV/AIDS Cases– Past 12 months– Compared to previous 12 months

eHARS Dashboard - Components

Cumulative Data– Total reported AIDS– Total reported HIV– Total reported perinatal exposures– Median time to data entry

This period/Last period

eHARS Dashboard - Components

Top 10 Diagnosing Facilities– Past 90 days– Drill down to complete list– Exclude private

Drill-down to list of cases with missing data– Lab import issue

eHARS Dashboard - Components

Median Initial CD4– Boxplot w/ confidence intervals– Cases dx’d in previous 6 months– Comparison by gender

Race Mode of Exposure Public/private

eHARS Dashboard - Components

Open Cases by Investigator– Uses local fields– Compare staff– Monitor workload– Drill-down to lists

eHARS Dashboard - Components

Completed cases by Investigator– Compare staff– Compare to unit average– Monitor workload– Drill-down to summary data

eHARS Dashboard - Components

Electronic Lab Reporting– Past 12 months– Compared to previous 12 months– Drill-down to lab-specific trends

Listing by month and lab Graphs of 2-year trends

eHARS Dashboard - Components

Reported Labs by Type– CD4– Western Blot– Viral Load– Other

Last complete month compared to monthly average

eHARS Dashboard - Components

Process indicators – Past 90 days– % NIR– % Missing Race/ethnicity– % No CD4 (Count or percent)– % Missing Vital Status– % Invalid address– Local interest…

eHARS Dashboard – SAS Code

Intermediate level Working with macro variables Proc SQL SAS/GRAPH

– Templates, GREPLAY, Device options

ODS– HTML (drill-down and tool tips)

eHARS Dashboard

Demo Questions?

Thank You!

Contact Information– michael.eberhart@phila.gov